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This document is a travel permission and liability waiver form for Taguig City University. It provides permission for a student to travel for a field trip related to their course from [DATE] to [LOCATION]. It outlines that the student is responsible for any medical or transportation costs and releases the university from liability. The student acknowledges risks of travel and agrees that the university's insurance does not cover private vehicles. The form requires signatures from the student, guardian if a minor, and witnesses.

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ReaganRicafort
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32 views1 page

DFBGDFBGD

This document is a travel permission and liability waiver form for Taguig City University. It provides permission for a student to travel for a field trip related to their course from [DATE] to [LOCATION]. It outlines that the student is responsible for any medical or transportation costs and releases the university from liability. The student acknowledges risks of travel and agrees that the university's insurance does not cover private vehicles. The form requires signatures from the student, guardian if a minor, and witnesses.

Uploaded by

ReaganRicafort
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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TAGUIG CITY UNIVERSITY

I. TRAVEL: Dept:

Name of Field Trip, Course & Travel Dates: (Date(s)- Trip to: (Name of Venue/Bldg/Org) in (City); Course:
(“trip”)

Mode of Travel: ___ Self-Travel/Personal Vehicle ____Rental Vehicle ____ Commercial Bus/Shuttle

This is to certify that _______________________________________ has full permission to, and/or has voluntarily agreed to:
(Student / Participant Name - Print)
Travel in a group or independently, off campus, within the ____________________________, in connection with a field trip,
function, event, (____________________________)

II. LIABILITY WAIVER / RISK ACKNOWLEDGEMENT:

I understand that participation in trip activities could involve risk of physical injury, illness, death or property loss, and despite safety
precautions, the university cannot guarantee safety thereof, as all risks cannot be prevented TCU, does not provide health and accident
insurance for trip participants, and I understand that any medical expenses, property loss, or other personal expenditures that result during or
from this travel/trip, are to be borne by the student/participant, or by their parent or guardian (if student/participant is a minor). I also hereby
consent, give authorization to, and release from liability; trip leaders to secure any emergency medical treatment in event I am unable to, and I
agree to be responsible for the costs thereof.
I further acknowledge that if I drive my own vehicle, or am a passenger in another’s private vehicle in connection
with this trip/function, that TCU auto insurance does not cover such a private vehicle. I also understand that the University cannot be
responsible for assuring the safety and reliability of such private transportation or driver, nor for any
non-sponsored activities and travel that I/my child might choose to participate in before, during or after the university sponsored function, and I
therefore accept the risks and responsibilities associated with such private vehicle travel and activities.

In consideration of the opportunity afforded, with full knowledge and acceptance of the risks associated with this trip and any
recreational activities noted within; and with full understanding of the above issues/conditions and risks, I hereby release, indemnify
and hold harmless Taguig City University, its faculty/staff, trustees, officers, volunteers, and agents from all form and manner of risks
inherent in, and from all claims, suits and demands of any nature arising from participation in said trip, or activities.
__________________________________________________________ __________ ________________________________________________________________
Signature of Student/Participant Date Signature of Parent or Guardian Date
(needed if student )

_____________________________________________________________ ___________________________________________________________
Print Student/Participant Name Print Parent/Guardian Name
_____________________________________________________________ ___________________________________________________________
Signature of Witness for Student/Participant Signature of Witness for Parent/Guardian

Emergency Contact Name:________________________________________ Phone:________________________________

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